NPI | 1588142673 |
---|---|
Doing Business As | BUFFALO TMJ |
Entity Type | Organization |
Authorized Contact | JEFFREY MARK DOLGOS Owner/Dentist 716-675-5858 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 049211) |
Enumeration Date | 2018-08-01 |
Last Update Date | 2018-08-01 |